Neopuff ™ - McNeil Surgical (NT) Pty Ltd

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Optimal Resuscitation The Neopuff Infant T-Piece Resuscitator is an easy to use, manually operated, gas-powered resuscitator that provides optimal resuscitation. Pressure cmH 2O Controlled PIP PIP is too High Short Inspiritory Time Pressure vs Time Time (s) Consistent PEEP No PEEP REF: Data from measurements using resus simulator, self-inflating bag and Neopuff by a qualified resuscitator. Safe, Controlled and Precise Peak Inspiratory Pressure (PIP) The Neopuff Infant T-Piece Resuscitator will safely inflate the baby’s lungs and provide optimum oxygenation by delivering consistent PIP with each breath avoiding the risks associated with under or over inflation at uncontrolled pressures. Neopuff Self Inflating Bag Target PIP 20cm H 2O Target PEEP 5cm H 2O Consistent and Precise Positive End Expiratory Pressure (PEEP) The Neopuff Infant T-Piece Resuscitator helps establish and maintain Functional Residual Capacity (FRC) by providing a consistent PEEP throughout the resuscitation process. Humidified Resuscitation The Neopuff Infant T-Piece Resuscitator facilitates the delivery of warm humidified gas to help protect the pulmonary epithelium and reduce heat and moisture loss especially during prolonged resuscitation. Conditioning cold, dry gas to body temperature and saturated with water vapour can help reduce the risk of an inflammatory response occurring in the infant’s airway.
• Easy to Use With the Neopuff Infant T-Piece Resuscitator, the experience, training, concentration and fatigue level of the operator do not affect the pressures delivered. The desired PIP is set by turning the inspiratory pressure control • Flexibility in Operation Neopuff Infant T-Piece Resuscitator Wherever resuscitation is needed The Neopuff can accept and deliver oxygen concentrations from 21% to 100% coming from a flow meter or a blender. The patient T-Piece can connect to neonatal masks or endotracheal tubes. • Accurate Pressure Delivery The desired PEEP is set by adjusting the T-Piece aperture The lightweight patient T-Piece allows simple, effortless, breath by breath resuscitation by simply occluding the T-Piece aperture with thumb or finger. The fast-acting manometer provides constant reassurance of mask seal and delivered PIP and PEEP. • Alternate Temporary Respiratory Support Consistent PEEP can be delivered to assist with breathing during transport or ventilator circuit change. “Target inflation pressures and long inspiratory times are more consistently achieved in mechanical models when T-Piece devices are used rather than the bags” 2005 NRP/AHA/AAP Guidelines Part 13: Neonatal Resuscitation Guidelines. Circulation 2005;112;188-195; “The pop-off valves of self-inflating bags are flowdependent, and pressures generated during resuscitation may exceed the target values” 2005 International Consensus on Cardiopulmonary Resuscitation and Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Circulation, November 29, 2005;Volume 112; No 22; Part 7: Neonatal Resuscitation. p 91-99 “The Neopuff is a modified T-Piece...the PIP and PEEP are constant for every breath. They can be adjusted according to clinical response” O’Donnell CP, Davis PG, Morley CJ Resuscitation of Premature Infants: What are We Doing Wrong and Can We Do Better? Biol Neonate 2003;84(1):76-82 “Our experience suggests that the Neopuff, a unique neonatal resuscitation ventilator, facilitates the delivery of desired airway pressures while allowing the operators to use both hands to attempt to obtain and maintain a patent airway” Finer NN, Rich W, Craft A, Henderson C Comparison of methods of bag and mask ventilation for neonatal resuscitation. Resuscitation 2001;49(3):299-305 “Devices are now available that provide CPAP to the spontaneously breathing infant (e.g., Neopuff). These devices can provide positive end-expiratory pressure during IPPV, followed by CPAP once the infant commences to breathe spontaneously.” Martin R, Fanaroff AA, Walsh MC, Eds. Fanaroff and Martin’s Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant. 8 ed: Mosby Elsevier, 2006. Chap 25, Part 2 p491. “The T-piece/face mask technique is easier to use and more effective as the inflation pressure can be maintained for longer” Milner A. The importance of ventilation to effective resuscitation in the term and preterm infant. Semin Neonatol 2001:6(3):219-24. “The one sample t tests performed for each device showed significant deviations from the set target parameters of PIP and PEEP for both the self inflating and anaesthetic bag devices (p
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Neopuff ™ - McNeil Surgical (NT) Pty Ltd

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